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everetl <br />� APPLICATIDN FOR RIGHT-CJF-WAY USE PERMIT <br />Type or pnnt clearly with in'. <br />PRESS IiAFD - YOU AFE MAKINii GOPIES <br />PUBLIG WORK$ `� i /.. <br />EVERETT. WASHINGTON PERMIT NO. �'-�� '�'� <br />APPLICANT (UNDERSIGNED) ANO FIRM REPRESEN7EC. IF ANY: ��` /V _��J.�[� 8�Fu _ <br />HEREBY APPLIES FOFi PERMISSION 70�5!�'9•« �-� / B�ACflTO.O ,OR/ VEhii9v <br />/ Ii �� /. � <br />• • • • / � �/G . • i � .a —1a <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED <br />I I —_'-. <br />i I ' <br />� � r <br />� i � i <br />� � <br />I I � <br />— � <br />; / I --- <br />$/L�/J� y L R /✓ <br />,r.< F". <br />';. �.Y'.. . <br />-- +rc _ "if ;vr — — ;'; <br />� k,. <br />�7X-d'AS�T�i��eh T I _ �� �� <br />.foT /��/ <br />PERMIT IS VALID FOR 60 DAVS <br />� <br />�: yRA� E <br />!'%�'CFoSE,o /2�l'✓/,OF <br />�3� Ar,� ro a <br />vR�vr�✓Ay <br />�_.� - -' <br />� � - -� �8% �. � c�J <br />�y ��A� <br />���' <br />O� <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2S9-B81 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />.i�1.�A <br />SEIYER COMMUNiCAIi�- <br />DnniN�GE <br />WRTER FL�INNING <br />o�st t � <br />STREET <br />f <br />APPROVEOFOR CONSTRUGTION Dn*E <br />APPROVEU AS CONSTRUCTEG DniE <br />DRIVEWAY SECTION <br />I'� LIP <br />�„30„ I_ �.3o"_I <br />'i <br />The untle�SiBneE Owne� here0y eqrees �o holE anE save harmle�s <br />Ihc Cily ol Evercll Iwm any antl all c�mms lor aamuges, ro. s. <br />CvpCI15C5. Of CdU5C5 O� 2CIi0� �Il.tl m.ry d115C bCCdUSC OI TS�dllAli00 <br />ana mamlenance oi t�e imryovement or ot�er ng�Lobway use <br />ne�c�o aon��ee io� ano iwine� .l0'CC510 �¢mpV¢ SdmC UpOn n0�¢C <br />Irom �ne CiIY aM �o iepiace i ubbc property Damagea iM1rvebV. <br />SIGNAIU�E Of AVPLiCAM <br />�90 � c�� a y #s" .. <br />nooness <br />cir`�liE.PE ��/f,�� 9RzQ� <br />7�-i ,z5'3� <br />reier��or�ervun�acn ni.�[nwac • <br />onr[ � — _ <br />".I.I� ._ . ,�ilr�� - . . ; '� ;�E � 1978 <br />